Management of stress incontinence Essay Example | Topics and Well Written Essays - 2750 words

Management of stress incontinence - Essay Example Stress incontinence can therefore be seen to be unrelated with psychological stress, though it remains the commonest form of urinary incontinence. Thus, the definition of stress incontinence as leakage of urine as a result of straining, coughing, sneezing, or sudden voluntary movement due to incompetence of the sphyncteric mechanisms can be lent credence. According to Chapple and Cardozo (2006, 16), women have been found to be more prone to stress incontinence, compared to men. Statistical provisions from reputable researchers point out that the preponderance of stress incontinence among women increases with age, so that 1 in 5 women who are over 40 suffer from some degree of stress incontinence. Becker (2005, 11) is poignant that those who experience stress incontinence are always subject to embarrassment, isolation, underperformance at the workplace, and a receding social life, especially when leisure activities and exercise form part of this social life. This makes management of s tress incontinence a crucial undertaking which has been much celebrated. Management of Stress Incontinence There are several approaches to managing stress incontinence. Many medical practitioners heavily rely on physiotherapy. This involves, subjecting the patient to (prescribed) exercises, as a way of strengthening pelvic floor muscles. Since the target is mainly strengthening pelvic floor muscles, pelvic floor exercises form the main part of this prescription. The applicability of using exercises to strengthen pelvic floor muscles is based on the fact that kidneys constantly make urine. Because of this, trickles of urine constantly pass to the bladder, before going down to the ureters. The urters are tubes that connect the kidney to the bladder. The amount of urine a person makes depends on how much an individual drinks, eats and sweats (Collier and Longmore, 2003, 61). The crux of the matter herein is that the bladder comprises muscles, and also stores urine. That the bladder is elastic is underscored by it expanding like a balloon as it gets filled with urine. The urethra as the outlet for urine remains closed. It is the pelvic floor muscles that regulate the opening and closing of the urethra. As a certain amount of urine fills the bladder, one becomes aware of having a full bladder. On going to the lavatory to pass urine, the muscles of the bladder contract and squeeze the urethra. The pelvic floor muscles then get to relax. Complex nerve messages are relayed to the brain as the central nervous system, the bladder and then the pelvic floor muscles. It is these messages that prompt a person, informing him that his bladder is full and also prompt the right muscles to either relax or contract at the right time. Thus, the foregoing clearly shows that prescribing pelvic floor exercises for the stress incontinent will help tighten the muscles of the urethra and the bladder, and thereby helping stop unintended flow of urine. According to Bo, (2007, 34 a) and Ga rtley (2012, 75), kegel exercises have also been recommended as the best way of retraining and strengthening sphincter and pelvic floor muscles, as a way of reducing stress leakage. Kegel exercises have mostly proven most beneficial to those below 60 years. To this effect, it is a standard observation that the patient should do at least do 24 contractions daily, for at least 42 days (6 weeks). The physiotherapist

Autobiography discussion Essay Example | Topics and Well Written Essays - 250 words

Autobiography discussion - Essay Example Clustering is a process that involves brainstorming over what one intends to write about (Cline et al, Page 10-58). People can carry out clustering on their own or with groups of friends so long as the inspiration connecting various idies is achieved to enable the writer proceed. Clustering enables the writer to jot down short phrases that guide him in the actual writing process. Listing, on the hand, requiers the writer to numerically put down their ideas on paper in terms of priority or chronology. It is usually the first step writers take whenever they want to write an autobiography. Listing helps in connecting ideas and experiences that a writer might have gone through. Freewriting puts the brain in action to undertake the actual writing of the biography (Cline et al, Page 23-74).Writers can undertake freewriting on their own or as a group with the free written paragraphs being read out. This enables the ears to pick out certain patterns that are vital in the actual writing of the autobiography. It also brings out various ideas that a writer might have not thought of at the initial stages. In conclusion, therefore, out of the three strategies employed in writing listing is the most benefitial to a writer as it helps in linking the ideas with the experinces. It also helps in determining the actual flow of ideas in a chronoligical manner thus making the work of a writer more organzied and smoothly flowing in the

Character Analysis and pick one of those .William Faulkner, A Rose for Essay

Character Analysis and pick one of those .William Faulkner, A Rose for Emily, and Andre Dubus, Killings - Essay Example Emily has killed Homer because society killed her independence and happiness first due to social class and gender norms. In the beginning, the story presents Emily with both admiration and criticism because of her class status. Emily belongs to a family of an upper-class family that is respected in the community. When she died, the narrator states that she has gone to where her social class went to, along with â€Å"representatives of those august names† (Faulkner par.2). She is a Grierson, one of the most respected names in town. The tone of the story mixes respect and ridicule, however. The narrator describes the house as he would the Griersons: â€Å"...only Miss Emilys house was left, lifting its stubborn and coquettish decay above the cotton wagons and the gasoline pumps—an eyesore among eyesores† (Faulkner par.2). The tone challenges the Griersons for remaining superior when they have lost their wealth and influence already. As the story progresses, Emily opens up to the community a little, which the people respect because they feel sympathy for her after her domineering father died and because she is a old, single woman. The narrator judges the Griersons as too proud of themselves. He uses the words â€Å"high and mighty Griersons† in contrast to the â€Å"gross, teeming world† because of the smell coming from Emily’s house (Faulkner par. 16). It shows how social class affects the social circle of Emily. At the same time, gender is also an issue for Emily. Her father controlled her life when he was alive. The narrator suggests this when he says: â€Å"None of the young men were quite good enough for Miss Emily and such† (Faulkner par. 25). Gender values that expect her to respect her father’s decision have turned her into an old maiden. Still, she opens up a little when she had China-painting lessons and became romantically involved with Homer. Emily shows her indepen dence after her father

Organisational Analysis Essay Example | Topics and Well Written Essays - 2000 words - 4

Organisational Analysis - Essay Example In reality, when Scottie determines to have his quintessentially imagined woman, he tried to mould another woman Judy Barton, starred by Kim Novak by changing her appearances in accordance with his imaginary woman â€Å"Madeleine†. During his effort of altering appearances of Judy, Scottie barely thinks about the clay he is modelling and starts the unique story of Hitchcock’s works of arts (Ebert, 2014). The main purpose of this essay is to highlight the moral derives from the story of â€Å"Vertigo† and critically define the role of structure and culture, which have major influence on organisations and/or processes of organising that are represented in some way. In order to obtain the key purpose of the study, the discussion critically reviews the story and thematic representation of â€Å"Vertigo† and representation of the aesthetic view of the film in the context of organisational processes. The discussion of the essay also focuses on critical evaluation by emphasising on the moral of the film and how it can relate with the current organisational structure and culture. Retired police detective Scottie was hired by Gavin Elster to follow his wife Madeleine, regarding her outlandish behaviour. Scottie was appointed in this role to develop effective behavioural aspects of Madeleine but he obsessively falls in love with her. However, she starts believing that she is the recreation of a particular woman who expired many years ago and therefore Gavin Elster is concerned regarding Madeleine’s sanity (Adas, 2006). During the time of Scottie’s affection on Madeleine, they visit an old mission church where Madeleine commits suicide by jumping from the top steeple of the church. The incident of Madeleine’s death faults Scottie not for stopping her from the top of the steeples. After several months of that incident, Scottie

Higher education Essay Example | Topics and Well Written Essays - 750 words - 2

Higher education - Essay Example I agree that too many people are participating in colleges. There are several opportunities apart from going to college, and they are all viable. There are so many people going to college, and the most interesting thing is that there is a high rate of drop out compared to those graduating. The graduation rate is low as described by Murray in his article. It is evidential that there are six months certificates, which are flexible as compared to four years, stay in college. In addition, most of the students spend up to six years in college; they could have invested the time in more viable ventures. Not all people that go to the college become successful. At the same time, too many people are joining the colleges leading the current education system into shamble (Murray 225). According to statistics, from the financial institutions, the competence of the financial students is wanting. Most of the people have tried to be fit and conform to the social norms of the society. No one is bound to fit into the social norm of the society, in fact, they must use creative and critical thinking does decide if to join the college or to become an electrician. The fact that too many people are going to college does not affect or influence an individual’s decision of joining the college. Joining the college must not me a communal decision but a personal decision (Murray 230). It is important to note that, not everyone who can make it through to college. Most of the skills must be learned in the alimentary and middle school. Murray describes the education system as a failing strategy. Most of the people in the society believe that everyone in the society must have a bachelor’s degree to be considered in the job market. People must do what they are good at and not what the society tells them to do. Money is not the reason for joining the college but getting a

Should Disabled Veterans Get Preferential Treatment over Better Essay Example for Free

Should Disabled Veterans Get Preferential Treatment over Better Essay Affirmative Action efforts were started in 1964 to end the long history of overlooking qualified people of color and women from higher education. Affirmative Action sets standards for a business or office of admissions, so that a white man does not have the upper hand over an equally or greater educated minority’s, female or disabled veteran. The initial way the government tried to justify Affirmative Action was to develop a human resource approach: first identifying the problem, which is racism, sexism and handicapped stereo typing then establishing the solution. The intent of the Disabled Veterans Affirmative Action Program (DVAAP) is to help cut down on discrimination in the work place, despite the fact that some believe that (DVAAP) is a form of reverse discrimination. In contrast, the first goal of (DVAAP) was to help disabled veterans across the nation receive the entitlements they deserve when they apply for employment in the Federal Government. I believe that Charles J.  Muhl was trying to say that the Affirmative Action techniques have the advantage of not only persuading employers not to discriminate when hiring or accepting, but to expand employment and educational opportunities for groups that might be just as deserving but less fortunate. Therefore the (DVAAP) is legitimate because it does reduce discrimination in the work place and related areas such as various jobs on Government Installations and Federal Offices. In the end, it should in no way be abolished. A California Superior Court had upheld the states use of 3 affirmative action programs but struck down 2 of them owned by minorities, woman and disabled veterans. The program that the Superior Court upheld was intended to remedy discrimination and according to proposition 209 there was no discrimination towards minorities or disabled veterans. Those two programs mentioned nothing about minorities or disadvantaged veterans only disadvantaged businesses. I feel that the Superior Court rejected the states laws because it seemed like they felt it was reverse discrimination and unconstitutional. Affirmative action is becoming highly controversial. Right now Proposition 209, in California, which bans all programs involving race and sex preferences run by the state, has passed but it will not be put into total action due to some questions of constitutionality. But one must ask themselves â€Å"Is the DVAAP a new form of Affirmative Action? † The DVAAP has employed about 93,000 disabled veterans during 2005. Without programs like this, there would have been about 93,000 unemployed veterans’ just collecting disability and unemployment, resulting in more tax money being spent on disabled veterans. With this system they are able to make a valued contribution to society and not become a financial burden on the rest of the economy. Mark Rosenbaum of the Southern California Branch of the American Civil Liberties Union declared an argument. Proposition 209 should be declared unconstitutional because it singles out women and minorities at a time when discrimination still exists, Now let just think for a minute, How many of these Disabled Veterans are women or minorities? Also take into consideration if you add some sort of combat wound to that Veteran, what would you have without the help of the (DVAAP)? I will tell you. People would look at those brave Veterans that put there lives on the line and call them a â€Å"BUM† These people are not bums, they are fallen heroes that need help. Discrimination does still exist in our not so perfect world, and so far various forms of Affirmative Action is our only solution; so why is California trying so hard to put an end to it? Abolishing Affirmative Action is not the answer. President Clinton spoke out in his speech for National Archives: Let me be clear: Affirmative Action has been good for the United States we should have a simple slogan: Mend it, but dont bend it. The problem with the Affirmative Action debate could be that those arguing for it do a poor job defending their position. Due to the fact that Affirmative Action has been in place for more than a generation, critics have lost sight of how the job market and higher education looks without Affirmative Actions stabilizing effects. They could possibly make a stronger stance if they pointed out that there are thousands of injured veterans (woman and minorities) in the current ongoing war trying to readjust back to civilian life. They are also highly qualified for many forms of employment. (Section 4214(a)(1) of the title 38, United States Code) Many critics that were not hired for jobs that they felt that they deserved seem to think that Affirmative Action is a cleverly disguised form of racism and ineffective, but taking a look at what happens when there is no Affirmative Action, such as in court case’s around the United States reverse discrimination suit. Some courts are ruling to ban the race card, gender card and disabled veterans card when applying for government jobs. I would like to point out The whole reason that there are handicapped preferences is that the handicapped do not meet the standards applied to others, if they were require that they meet the standards then they would not have gotten in. I have a handy capped person that works with me and when I asked him how did he get his job, he told me I clearly got in through an Affirmative Action program, and I dont apologize for it Im proud of it. † It got me in, but it didnt get me out, didnt take the bar exam for me, didnt pass the two hundred and eighty five or so pieces of legislation Ive authored. He is a perfect example of Affirmative Action, a handicapped minority getting the chance to prove himself. Affirmative Action did not get him where he is today it just simply got his foot in the door. Affirmative Action gave him a chance he would not have gotten if Affirmative Action did not exist. Although sad, but true we do not live in a perfect, color-blind country. I believe It is simply wrong to play politics with the issue of Affirmative Action and divide our country at a time when, if we really want to change things, we have to be united. I have had experience with Affirmative Action, nearly twenty years of it now, and I know it works. In conclusion, Affirmative Action, just as it started, is trying to create unity within the real world, which is not perfect and there is lots of handicapped stereo typing. So why are we still asking the question of why we are using various forms of Affirmative Action? Proven that it abolishing Affirmative Action would be a negative effect to the work place, why should we go back to the days of handicapped stereo typing, why not move forward still some until we can create unity. We should seek not just equality as a right and a theory, but equality as a result. Maybe the world hasnt exactly found equality as a result, but with the Disabled Veterans Affirmative Action Program, the world is a lot closer to equality than without it.

Competition vs. monopoly Essay Example for Free

Competition vs. monopoly Essay 1. Analyze the fast food industry from the point of view of perfect competition. Include the concepts of elasticity, utility, costs, and market structure to explain the prices charged by fast food retailers. Firms within the fast food industry fall under the market structure of perfect competition. Market structure is a classification system for the key traits of a market. The characteristics of perfect competition include: large number of buyers and sellers, easy entry to and exit from the market, homogeneous products, and the firm is the price taker. Many fast food franchises fit all or most of these characteristics. Competition within the industry as well as market supply and demand conditions set the price of products sold. For example, when Wendys introduced its $. 99 value menu, several other companies implemented the same type of changes to their menu. The demand for items on Wendys value menu was so high because they were offering the same products as always, but at a discounted price. This change in market demand basically forced Wendys competition to lower prices of items on their menu, in order to maintain their share of the market. The previous example illustrates the elasticity of the fast food industry. Supply and demand set the equilibrium price for goods offered by franchises within the industry. Competitors of Wendys must accept the prices established by the consumer demand for the value menu. If consumers didnt respond so positively to Wendys changes, other firms wouldnt have had to adjust prices. On the flip side of this concept, there is no need for franchises to further reduce prices below the current levels. At the current prices, firms may sell as much product as they want, thereby maximizing profits. This industry has a very high utility value. Utility is a measure of satisfaction or pleasure that is obtained from consuming a good or service. If consumers feel as if they get a good meal, at a good price, then theyre satisfied. This customer satisfaction coupled with relatively low prices keeps the industry profitable. Another quality of perfect competition that may be overlooked, but is vital to this industry is the ease of entry into the market. Start-up franchises within this market structure can begin operating with relatively low initial investments (compared to other industries). This is not the case where monopolies are concerned. There are numerous barriers to entry into monopolistic market structures, capital being one of the most prominent barriers. If a new franchise an offer the consumer a quality product at a reduced price, then the chances of success are greatly increased. For example, Chanellos and Little Caesars offer discounted pizza prices, and maintain the same quality as other pizza chains. These companies spend less on advertising and more on the actual product. Thats a very important concept in this industry, because their quality product at this discounted price gives them a niche in the market. Once a company establishes a niche, they become more visible to the consumer, thereby creating more demand, which leads to greater revenue. 2. Analyze sports franchises from the point of view of a monopoly. Sports franchises fall within the market structure of monopolies. Most professional sports teams fit most or all of the characteristics of a monopoly. For each sport, there are a limited number of teams and new entries into the league are few and far between. Also, there are many barriers to entry into the market, including large initial capital investment, dominance by one or few firms, and other legal issues that must be considered. An investor would initially need cash for payroll of players, payroll for management, advertising, playing facility, and many other miscellaneous costs. The new franchise owner would need to be very wealthy and have the backing of other wealthy individuals just to purchase the franchise. Once a franchise eventually enters the market, they have the ability to set the prices for that particular market. Monopolies are price makers and the products offered are not sensitive to changes in the market. The demand curve of a monopoly is not elastic, as is such in a perfectly competitive market. The monopolistic demand curve is the same as the curve for the industry since there is only one firm within the industry. This allows the franchise owner to maximize profits by setting the price of tickets and concessions at an amount that creates the most revenue. Consumers will pay the price, if they want to attend a particular sporting event, no matter how outrageous the price. This price setting is allowable, because unlike perfect competition, there are no substitutes. Cities may have two or three teams of different types of sports (i. e. baseball, hockey, football), but few cities have more than one professional team of the same sport. Sports franchises, although theyre monopolies are not all bad. These teams bring million and millions of dollars in revenue to the city in which theyre located. First of all, jobs are created in the construction of the sports facility. Then there is revenue to the city from taxes, consumer spending at hotels and restaurants, tourist visits and numerous other avenues. Sports franchises are similar to the fast food industry in the respect that they also have a very high utility value. Fans are pleased when they witness a very competitive, hard fought sporting event, and they are willing to pay to do so. Just look at the price of Super Bowl or NBA finals tickets. Spectators pay hundreds and even thousands of dollars to witness these events year in and year out. As long as the teams are competitive and there are superstar players, consumers will continue to watch and attend events regardless of the price.